Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Roldan Restivo

Individual provider Physician Assistant · NPI 1477351690

Jake Roldan Restivo is a Physician Assistant in Washington, District of Columbia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2300 I St NW
Washington, DC 20052-0011
Phone: (202) 994-2987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477351690
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

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